In this insightful interview, Prof. Octavio Pontes Neto speaks with Prof. Craig Anderson about the latest pooled analysis on intracerebral hemorrhage (ICH), offering compelling evidence that early and intensive blood pressure (BP) lowering significantly improves outcomes. They discuss key findings, the implications for acute ICH management, and how this evidence supports the urgency of BP control in the hyperacute phase. A must-watch for clinicians and researchers involved in stroke care and emergency medicine.